ECS authorization cum Banker’s Certificate

(To be filled by Supplier/Firm and certified by Banker)

Date:____/_____/_______
To,
For EDP use only
The CDA Vendor Id:________________
Pachpedi Road, Jabalpur,M.P-482001
Contractor Id:__________________
Tel No:0761-2608012/13/Tele-Fax No:0761-2603253
E-mail:cda-jbl.hub.nic.in
Dear Sir,
I/We hereby declare that I/We are suppliers to the Army Units under the payment jurisdiction of office of the CDA Jabalpur. I / We hereby express our willingness to accept all payments against
supplies etc by the office of the CDA Jabalpur by ECS. In order to facilities the ECS payment, the ECS mandate as below is hereby given.
Firm/supplies details Bank details

Name of the Firm (Full postal address or stamp of the *Bank Name:
supplier/Firm)
*Branch Name
*IFSC Code
*Account Type (Savings/Current/Cash Credit)
*Account No. (As appearing on the Cheque book)

Ledger No. & L.F.No.

Date of effect

I / We hereby declare that the particulars given above are correct and complete and if the transaction is delayed or not effected at all for reason of incorrect information. I/ We would not hold
office of the CDA responsible. I/ We am/ are aware of the ECS (Electronic Clearing Scheme) and I / We agree to discharge my / our responsibility expected of me as a participant under the scheme.

Yours truly,
Signature & Name of Sole/ First Account Holder:_____________________________________________ Signature & Name of Second/ Joint Account Holder___________________________________
(Please Note: To be signed by all Account Holders a per mandate on the Saving A/ c / C.A. /C.C with the Bank)

Certified that the particulars finished above are correct as per our records.

* Important: Mandatory information. . Without this information Bills cannot

Seal / Stamp of the Bank Name & Designation of the Authorised Bank
be passed through ECS.
Signatory with dated Signature